Exploring the Relationship Between Internet Use and Mental Health Among Older Adults in England: Longitudinal Observational Study
Exploring the Relationship Between Internet Use and Mental Health Among Older Adults in England: Longitudinal Observational Study
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DOI：
10.2196/15683
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发表时间：
2020-07-28
影响因子：
7.4
通讯作者：
Scholes, Shaun
中科院分区：
文献类型：
--
作者：
Lam, Sabrina Sze Man;Jivraj, Stephen;Scholes, Shaun
背景：互联网使用对老年人心理健康的影响尚不确定。此外，人们对互联网使用特定目的的影响知之甚少。 目的：本研究旨在调查老年人心理健康的两个不同概念与互联网使用频率之间的纵向关系：社会经济地位（SEP）的调节作用和互联网使用特定目的之间的关联。方法：使用英国老龄化纵向研究的第 6-8 波拟合纵向固定和随机效应（27,507 人年）模型，以检验不同年龄之间的关系。互联网使用的各个方面（频率和目的）和两个心理健康结果（抑郁和生活满意度）。使用交互项测试了 SEP 对这些关联的潜在调节作用。结果：不频繁使用互联网（每月或更少与每天）可预测生活满意度恶化（β=-0.512；P=.02），但不能预测抑郁症。教育和职业阶层对互联网使用频率与心理健康之间的关联有调节作用。在最高教育水平组中，抑郁症 (P=.09) 和生活满意度 (P=.02) 之间的相关性更强，而在最高职业组中，仅与生活满意度 (P=.05) 相关性更强。使用互联网进行交流与较低的抑郁症（beta=-0.24；P=.002）和更好的生活满意度（beta=.97；P
Background: There is uncertainty about the impact of internet use on mental health in older adults. Moreover, there is very little known specifically about the impact of particular purposes of internet use.Objective: This study aims to investigate the longitudinal relationship between two distinct concepts of mental health with the frequency of internet use among older adults: the moderating role of socioeconomic position (SEP) and the association between specific purposes of internet use.Methods: Longitudinal fixed and random effects (27,507 person-years) models were fitted using waves 6-8 of the English Longitudinal Study of Ageing to examine the relationship between different aspects of internet use (frequency and purpose) and two mental health outcomes (depression and life satisfaction). The potential moderating effect of SEP on these associations was tested using interaction terms.Results: Infrequent internet use (monthly or less vs daily) was predictive of deteriorating life satisfaction (beta=-0.512; P=.02) but not depression. Education and occupational class had a moderating effect on the association between frequency of internet use and mental health. The associations were stronger in the highest educational group in both depression (P=.09) and life satisfaction (P=.02), and in the highest occupational group in life satisfaction (P=.05) only. Using the internet for communication was associated with lower depression (beta=-0.24; P=.002) and better life satisfaction (beta=.97; P